Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KADASHA FAIRCLOUGH, RN
Active Sole ProprietorKADASHA FAIRCLOUGH, RN is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LOGANVILLE, Georgia. NPI 1184260275 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LOGANVILLE, GA
Registration Details
- NPI Number
- 1184260275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2019 (6.7400728678376 yrs)
- Last Updated
- Feb 25, 2026
- Licenses
-
0024190568 (VA)RN286337 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1340 ALEXANDER XINGLOGANVILLE, GA, 300523985Browse GA providers · Browse ZIP 30052
- Phone
- 4049169226
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Registered Nurse
Other Certified Nurse Anesthetist (CRNA) Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MARIAM MUSTAPHA | CRNA | 1376221739 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.